Fisher A, Yousif E, Piper M. Truth lies below: A case report and literature review of typical appearing polyps yet with an atypical diagnosis. World J Gastrointest Endosc 2019; 11(1): 54-60 [PMID: 30705732 DOI: 10.4253/wjge.v11.i1.54]
Corresponding Author of This Article
Aaron Fisher, DO, Doctor, Hospitalist, Department of Internal Medicine, University of Michigan Medical School, F4323 UH South Unit 4, 1500 E Medical Center 5220, Ann Arbor, MI 48109, United States. aaronsethfisher@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Jan 16, 2019; 11(1): 54-60 Published online Jan 16, 2019. doi: 10.4253/wjge.v11.i1.54
Truth lies below: A case report and literature review of typical appearing polyps yet with an atypical diagnosis
Aaron Fisher, Edward Yousif, Marc Piper
Aaron Fisher, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI 48109, United States
Edward Yousif, Marc Piper, Department of Internal Medicine, Division of Gastroenterology, Providence-Providence Park Hospital, Michigan State University College of Human Medicine, Southfield, MI 48075, United States
Author contributions: Fisher A wrote and edited the manuscript; Yousif E and Piper M edited the manuscript; Fisher A is the article guarantor.
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: Dr. Aaron Fisher, Edward Yousif, and Marc Piper have no relevant conflicts of interest to disclose.
CARE Checklist (2016) statement: Information for writing case report has been adopted.
Open-Access: This article is an open-access article which was selected byan in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Aaron Fisher, DO, Doctor, Hospitalist, Department of Internal Medicine, University of Michigan Medical School, F4323 UH South Unit 4, 1500 E Medical Center 5220, Ann Arbor, MI 48109, United States. aaronsethfisher@gmail.com
Telephone: +1-734-9365582 Fax: +1-734-6479443
Received: November 20, 2018 Peer-review started: November 20, 2018 First decision: December 9, 2018 Revised: December 27, 2018 Accepted: January 8, 2019 Article in press: January 8, 2019 Published online: January 16, 2019 Processing time: 57 Days and 19 Hours
Abstract
BACKGROUND
Enteropathy associated T-cell lymphoma (EATL) is a rare form of peripheral T-cell lymphoma and makes up less than 5% of gastrointestinal lymphomas. EATL can be divided into type 1 which is associated with celiac disease, and monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL), formally type 2, which is not associated with celiac disease.
CASE SUMMARY
We present a 60-year-old African American female, without celiac disease, who presented with abdominal pain, diarrhea, and 30 lb. weight loss over a 3 month period. She was subsequently diagnosed with EATL throughout her entire gastrointestinal tract. She is currently undergoing chemotherapy with EOCH (Etoposide, Oncovin, Cyclophosphamide, and Hydroxydaunorubicin). EATL is most common in the Asian and Hispanic population yet the incidence in African Americans is uncertain and emphasizes the rarity of this case. A literature review was included to further emphasize similarities and differences between our case and previously reported cases of MEITL.
CONCLUSION
The patient was diagnosed with EATL, immunochemical testing was not conclusive for MEITL however was suggestive of the disease.
Core Tip: The purpose of this case is to highlight an unusual presentation and demographic of monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL). A comprehensive literature review of MEITL is included in the case to further emphasize similarities and differences between our case and previously reported cases of MEITL.
